Healthcare Provider Details

I. General information

NPI: 1528726262
Provider Name (Legal Business Name): SANLI SHIH HSUAN HUANG DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2021
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 MIDDLEFIELD RD STE 1
PALO ALTO CA
94301-2900
US

IV. Provider business mailing address

853 MIDDLEFIELD RD STE 1
PALO ALTO CA
94301-2900
US

V. Phone/Fax

Practice location:
  • Phone: 650-513-2511
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS106978
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: